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1922267400
MONICA LACY
BOSSIER CITY, LA
NPI
1922267400
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: LA PT00276R)
Enumeration Date
2008-06-09
Last Update Date
2008-06-09
Business Address
Mrs. MONICA LACY PT
2463 VANCEVILLE RD
BOSSIER CITY, LA 71111-6313
Phone number: 318-746-8482
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Mailing Address
Mrs. MONICA LACY PT
2463 VANCEVILLE RD
BOSSIER CITY, LA 71111-6313
Phone number:
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